Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
Emerg Infect Dis. 2011 Nov;17(11):2094-8. doi: 10.3201/eid1711.110857.
When epidemic cholera appeared in Haiti in October 2010, the medical community there had virtually no experience with the disease and needed rapid training as the epidemic spread throughout the country. We developed a set of training materials specific to Haiti and launched a cascading training effort. Through a training-of-trainers course in November 14-15, 2010, and department-level training conducted in French and Creole over the following 3 weeks, 521 persons were trained and equipped to further train staff at the institutions where they worked. After the training, the hospitalized cholera patients' case-fatality rate dropped from 4% to <2% by mid-December and was <1% by January 2011. Continuing in-service training, monitoring and evaluation, and integration of cholera management into regular clinical training will help sustain this success.
2010 年 10 月,海地爆发霍乱疫情,当地医疗界对这种疾病几乎没有经验,随着疫情在全国蔓延,急需快速培训。我们专门为海地开发了一套培训材料,并开展了逐级培训。通过 2010 年 11 月 14 日至 15 日的一次培训师培训课程,以及接下来 3 周用法语和克里奥尔语进行的部门培训,共有 521 人接受了培训,有能力进一步培训他们所在机构的工作人员。培训后,住院霍乱患者的病死率从 4%降至 12 月中旬的<2%,到 2011 年 1 月降至<1%。持续开展在职培训、监测和评估,以及将霍乱管理纳入常规临床培训,将有助于维持这一成功。